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HomeMy WebLinkAboutPV2022-0346 - Permits�gWPORT City of Newport Beach II�������������������������������������������������������II Community Development Department- Building Division P V 2 0 2 2 e 3 4 s Solar Permit: PV2U22-U346 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2595 G t Permit Counter Phone: (949) 644-3288 Work Class : Alteration cq� Fp0.N.r Inspection Requests Phone: (949) 644-3255 Issued Date : 12/02/2022 newportbeachca.gov/inspections Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. Job Address : 1807 PORT CHARLES PL Legal Desc : N TR 6622 BILK LOT 27 Description: SFR SOLAR PV SYSTEM. 3.6 KW. 9 MODULES (EMT) IS NOT Ate LO VED i-'...-I Owner: LLOYD RUCKER Contractor: INFINITY SOLAR Architect Address : 260 NEWPORT CENTER DR Address : 2460 N GLASSELL #A Address NEWPORT BEACH, CA 92660 ORANGE, CA 92865 Phone : (949) 463-4509 Phone : (714) 904-3474 Phone Con State Lie : 824287 State Lie Lie Expire : 09/30/2023 Applicant : BLAKE CHISHOLM Bus Lie: BT30060932 Engineer : NEAL WANKET Address : 749 N MAIN ST Address : 1608 W FESCUE LN, #203 ORANGE, CA 92868 Bus Lie Expire : 10/31/2023 COUER d'ALENE, ID 83815 Phone: (657) 282-2245 Workers' Compensation Insurance Phone: (951) 506-6507 Carrier: STARNET INS CO e l Policy No: BNUWC0137148 Designer: W. C. Expire : 7/1/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $14,500.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 1 Type of Solar: SFP Bldg Height: No of Stories : 2 Kilowatt: 3 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: Processed By: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property,or my employees with wages as their sole compensation, will do U all of or (j portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or Improved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to oonslmct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). © I am exempt from licensure under the Contractors' State License Law for the following reason, By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:htip:I/www.loginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions 9� Chapter 9 (commencing with Section 7000) of Divisf 3 of the Business and Professions 9i de my lice III force and effect License Class M License I -D L`t l$1 Da I N✓ Contractor Signature) / NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORXERW COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU8JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for yrmance of the work for which this permit Is issued. Policy No.. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone It JI certify that, in the performance of the wo hicn this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' compensation laws of Calffonna., and agre hat, if I should become subject to the wa rs' tom ensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Signature of Applicant I �� Da )ECLARATION REGARDING CON W UCTI :NDING AGENCY hemby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the fallowing: I am the property owner or authorized to act an tha prcpery o r s behalf. I have read this application and the information I have pro ' ad is orrect. I agree to comply with all applicable city and county Ordf ces d state laws relatin Wipg sonsuuction. I authorize representatives of this city or county to ant veddentified rty for inspection purposes. Signature of Property Owner or Authorized Agents% Print property Owner's or Authorized Agent's Name'] Cate ACTION DATE BY V \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLF 40 AND AQMD RULE 1403 �.. PERMITEXPIREP ISUBMITTED ASBFSTOS NOTIFICATION TO PERMITCANCELLEO— PERmrITEXTENDED --- QMD --- — PERMITFINAL SEIE$ OS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF u -1 PROPOSED DEMOLITION OCC PANCY ISSUED f�I-lam l SIGNATURE: